Artificial facet joint

ABSTRACT

A spinal facet prosthesis for a diseased or painful facet joint comprises a superior component and an inferior component. The superior component is roughly conical or pyramidal in form and is fastened to and over the distal tip of the inferior articular process of the diseased or painful facet joint. The inferior component is also roughly conical or pyramidal in form with one side elongated postero-medially and distally. The outer surface of the elongated side of the inferior component is of low friction, such as polished chromium coating or medical grade high-density polyethylene. The inferior component is fastened to and over the superior articular process of the diseased or painful facet joint. Each component is made of a biocompatible material. The inner surface of each component which is in contact with its respective articular process is coated with a porous coating to enhance the adhesion of each component to its respective articular process.

BACKGROUND OF THE INVENTION

1. Field of the Invention

The present invention relates to an artificial spinal facet joint orprosthesis to replace a diseased, damaged, or otherwise painful facetjoint.

2. Description of the Prior Art

This invention relates to an artificial facet joint comprised of twocomponents, a superior articular component and an inferior articularcomponent. The superior articular components is designed to replace thearticular surface of the inferior articular process and the inferiorarticular component is designed to replace the articular surface of thesuperior articular process.

The function of the facet joint is to guide vertebral motion and toresist compression, rotation and shear. The facet joints share insupporting an estimated 10-15% of the load of the lumbar spine. The loadupon the facets increases with extension of the spine. A large body ofevidence exists to support the fact that the facet joint is a painproducing structure. This pain can be disabling to some degree in somepeople. This pain can be due to trauma to and/or degeneration of thefacet joint.

An artificial facet joint should cover the articular surfaces of thepainful facet joint. It should aid in guiding vertebral motion and beable to withstand compression, rotation and shear force. It should notcause compression to adjacent neural structures. The artificial facetjoint should be both biocompatible and biostable so that the jointitself and its degradation by-products, if any exist, should not causeadverse tissue reactions.

It is a principal objective of this invention to provide an artificialfacet joint that has these characteristics.

SUMMARY OF THE INVENTION

The present invention resides in a spinal facet joint prosthesis toreplace a painful or otherwise damaged facet joint. The prosthesis iscomprised of two components, a superior articular component(hereinafter, superior component) and an inferior articular component(hereinafter, inferior component). The superior component is designed toreplace the damaged articular surface of the inferior articular processand the inferior component is designed to replace the damaged articularsurface of the superior articular process.

The superior component is roughly one or pyramid in form with a roundedapex. This form is designed to conform to the tip of the inferiorarticular process so that the superior component can cover the entiredistal portion of the inferior articular process.

The inferior component is also roughly cone or pyramid in form. Thisform is designed to conform to the tip of the superior articular processand to cover the distal portion of the inferior articular process. Oneside of the inferior component is concave and elongated postero-mediallyand distally to cover excursion of the superior component as it movesmedially and inferiorly upon the inferior component. The anterior sideof the inferior component is incomplete. It is shaped to contain a smallpedicle to promote mechanical stability and to decrease neural damagewhen placed surgically in a patient.

Each component of the device of this invention is made of abiocompatible material such as stainless steel, unalloyed titanium, or atitanium-aluminum alloy. The elongated side of the inferior componenthas a low coefficient of friction so that it offers minimal resistanceto the movement of the superior component. This may be accomplished bycoating the outer surface of the elongated side with either polishedchrome or a friction reducing material such as a medical-grade highdensity polyethylene.

Various methods are known for attaching each component of the device ofthis invention to its respective articular process. For example,attachment may be achieved with screws driven through the component andinto the underlying bone. The attachment of any component to theunderlying bone may be further enhanced by coating the interior surfaceof the component of the device with a multitude of small particles ofthe same material as the device and creating a porous inner surface toallow bony ingrowth into the porous inner surface thereby causing thedevice to become more firmly attached to the underlying bone.

A facet prosthesis embodying the present invention is intended to beconstructed in various forms and shapes to replace any facet joint inthe cervical, thoracic, or lumbar spine.

The object of this present invention to provide a novel prostheticdevice for the facet joints of the spine.

It is the further object of the present invention to provide aprosthetic joint that will maintain the natural motion of the spine andnot allow increased wear and tear to occur at adjacent levels.

Other objects, features, and advantages of the present invention willbecome apparent upon reading the following detailed description of theembodiments of the invention when taken in conjunction with the drawingand the appended claims.

BRIEF DESCRIPTION OF THE DRAWINGS

Further features of the present invention will become apparent fromreading the following specification with reference to the accompanyingdrawings, in which:

FIG. 1 is a side view of the spine with the prosthesis in place.

FIG. 2 is a perspective view of the superior articulating component.

FIG. 3 is a perspective view of the inferior articular componentcovering the superior articular process.

FIG. 4 is a perspective view of the superior articular componentcovering the inferior articular process.

FIG. 5 is a perspective view of the inferior articular component.

FIG. 6 is a perspective view of the superior articular componentarticulating with the inferior articular component.

DETAILED DESCRIPTION OF A PREFERRED EMBODIMENT

In FIG. 1 the prosthesis 10 is shown in place between two adjacentlumbar vertebrae 20 and 30 of a human. The prosthesis 10 is composed ofa superior articular component 40 and an inferior articular component50.

The superior component 40 is roughly in the form of a hollow cone or ahollow pyramid with a rounded apex. It is designed to fit over the tipof the inferior articular process 22. The exact form of the superiorcomponent 40 is such that it generally conforms to the shape of the tipof the inferior articular process 22 so as to be a matching fit over it.The superior component 40 contains a hole 46 at its apex to allow theinsertion of a screw 48 to firmly affix the superior component 40 to theinferior articular process 22.

In FIG. 3 the inferior articular component 50 is viewed posteriorly andis depicted in place over the tip of the superior articular process 32.The articular exterior surface 52 of this component is concave andelongated medially to cover the excursion of the superior component 40as it moves inferiorly and medially over the elongated articular surface52. The elongated articular surface 52 of this component has a lowcoefficient of friction so that there is a minimal resistance to themovement of the superior component 40 over it. There are a number ofways to make the articular surface 52 a low friction surface. Forexample, the surface may be made smooth and non-porous by applying acoating of polished chrome. Alternatively, a layer of a medical-gradehigh density polyethylene can be firmly attached to the elongatedarticular surface 52. Two holes 54 and 56 are placed in the distalportion of the elongated surface 52 to allow the insertion of two screws58 and 60 which affix the inferior component 50 to the superiorarticular process 32.

As best shown in FIG. 5 the inferior component 50 is a hollow devicewith an incomplete anterior side 68. The incomplete anterior side isformed in the shape a small pedicle 70 for stability. The purpose of theincomplete anterior side 68 of the inferior component 50 is tofacilitate the placement of the inferior component 50 over the superiorarticular process 32 and to reduce the risk of neural injury to thespinal nerve during the placement of the inferior component 50.

The adhesion of either the superior component 40 or the inferiorcomponent 50 or both to the underlying bone may be enhanced by applyinga porous coating 44 and 66, respectively, to the inner surface of thesuperior component 43 or to the inner surface of the inferior component64. In the preferred embodiment of this invention the porous material isof the same material as the component to which it is applied. There aremany methods known to those skilled in the art for producing the porouscoating. For example, the porous coating can be made up of smallspherical particles that are attached to the interior surface by methodswell known in the art. The porous coating will allow for bony ingrowthto occur and to firmly attach the component to the underlying bone.

Although this invention has been described in detail with particularreference to preferred embodiments, it will be understood that it isintended to cover all modifications, variations and equivalents withinthe spirit and scope of this invention as described before and asdefined in the appended claims.

I claim:
 1. A prosthetic device for implantation over a painful orotherwise damaged inferior articular process or .[.a.]. .Iadd.anadjacent .Iaddend.superior articular process, or both, .[.of.]. .Iadd.atthe point where such processes interact within .Iaddend.a human spinalfacet joint, .Iadd.the device .Iaddend.comprising,a .[.superior.].component .[.roughly in the form of a hollow cone or pyramid with arounded apex.]. .Iadd.having an outer surface adapted to.Iaddend.substantially .[.conforming.]. .Iadd.conform .Iaddend.to thesize and shape of the .[.distal tip of the inferior.]. .Iadd.outersurface of said painful or otherwise damaged .Iaddend.articular process.[.so as to be a substantially matching fit over it;.]..Iadd., at leastat the point where said painful or otherwise damaged articular processinteracts with said adjacent articular process; and .Iaddend. .[.aninferior component roughly in the form of a hollow cone or pyramidsubstantially conforming to the size and shape of the distal tip of theinferior articular process so as to be a substantially matching fit overit; means for affixing said superior component to said distal tip of theinferior articular process;.]. means for affixing said .[.inferior.].component to said .[.distal tip of the superior.]. .Iadd.painful orotherwise damaged .Iaddend.articular process.
 2. The device of claim 1,wherein said .[.inferior.]. component has a concave and elongatedexterior surface positioned in matching opposition to .[.the distal tipof the inferior.]. .Iadd.the outer surface of said mating.Iaddend.articular process so as to provide a bearing surface .[.to saiddistal tip along its path.]. as it moves .[.medially and inferiorly oversaid elongated surface.]. .Iadd.with respect thereto.Iaddend..
 3. Thedevice of claim 2, wherein said elongated surface is smooth so as toreduce the resistance to .[.the.]. .Iadd.said .Iaddend.movement .[.ofsaid inferior articular process over said inferior component.]..
 4. Thedevice of claim 2, wherein said elongated surface is coated withnon-porous polished chrome.
 5. The device of claim 2, wherein a layer ofmedical-grade high density polyethylene is firmly affixed to saidelongated surface.
 6. The device of claim 1, wherein said means ofaffixing said .[.superior.]. component .[.to said distal tip of theinferior articular process is.]. .Iadd.comprises .Iaddend.at least onescrew passing through the apex of .[.the superior.]. .Iadd.said.Iaddend.component and into the underlying .[.distal tip of the inferiorarticular process.]. .Iadd.bone.Iaddend..
 7. The device of claim 1,wherein said means of affixing said .[.inferior.]. component .[.to saidtip of the superior articular process is.]. .Iadd.comprises .Iaddend.atleast two screws passing through the distal portion of .[.theinferior.]. .Iadd.said .Iaddend.component and into the underlying.[.distal tip of the superior articular process.]. .Iadd.bone.Iaddend..8. The device of claim 1, wherein said .[.device.]. .Iadd.component.Iaddend.is made of a biocompatible material.
 9. The device of claim 1,wherein .[.the device.]. .Iadd.said component .Iaddend.is made ofstainless steel.
 10. The device of claim 1, wherein .[.the device.]..Iadd.said component .Iaddend.is made of unalloyed titanium.
 11. Thedevice of claim 1, wherein .[.the device.]. .Iadd.said component.Iaddend.is made of a titanium-aluminum alloy.
 12. The device of claim1, wherein .[.the.]. .Iadd.said component includes an .Iaddend.inside.[.surfaces of said device are.]. .Iadd.surface .Iaddend.coated with aporous coating.
 13. The device of claim 12, wherein the material of saidporous coating is the same as the material of said .[.device.]..Iadd.component.Iaddend..
 14. The device of claim .[.1.]..Iadd.20.Iaddend., wherein said form of the inferior component has anincomplete side so as to form an open area in said inferior component sothat said open area is superimposed over the spinal nerve at thesuperior articular process.
 15. The device of claim 14, wherein saidincomplete side is in the shape of a pedicle.
 16. A prosthetic devicefor implantation over a painful or otherwise damaged inferior articularprocess .[.or a superior articular process, or both.]., of a humanspinal facet joint, comprising,a superior component roughly in the formof a .[.hollow.]. cone or pyramid with a rounded apex .[.with a hole atthe apex.]. .Iadd.adapted to .Iaddend.substantially .[.conforming.]..Iadd.conform .Iaddend.to the size and shape of the distal tip of theinferior articular process .[.so as to be a substantially matching fitover it.]. .Iadd.to be repaired with said component.Iaddend..[.;.]..[.an inferior component roughly in the form of an incomplete hollowcone or pyramid substantially conforming to the size and shape of thedistal tip of the inferior articular process so as to be a substantiallymatching fit over it with one side having a smooth concave and elongatedsurface positioned in matching opposition to the distal tip of theinferior articular process and to provide a bearing surface to saiddistal tip along its path as it moves medially and inferiorly over saidelongated surface with at least two holes in the distal portion of saidelongated surface and with an open area adjacent to said elongatedsurface formed by an incomplete side in the shape of a pedicle.].. 17.The device of claim 16, wherein .[.the.]. .Iadd.said superior componentincludes an .Iaddend.inside .[.surfaces of the device are.]..Iadd.surface .Iaddend.coated with a porous coating. .Iadd.18. Thedevice of claim 1, wherein said component is a superiorcomponent..Iaddend..Iadd.19. The device of claim 18, wherein saidsuperior component is roughly in the form of a hollow cone or pyramidwith a rounded apex adapted to substantially conform to the size andshape of the distal tip of the inferior articular process so as to be asubstantially matching fit over it..Iaddend..Iadd.20. The device ofclaim 1, wherein said component is a inferiorcomponent..Iaddend..Iadd.21. The device of claim 20, wherein saidinferior component roughly in the form of a hollow cone or pyramidadapted to substantially conform to the size and shape of the distal tipof the superior articular process so as to be a substantially matchingfit over it..Iaddend..Iadd.22. A prosthetic device for implantation overa painful or otherwise damaged inferior articular process of a humanspinal facet joint, comprising:a superior component roughly in the formof a cone or pyramid with a rounded apex adapted to substantiallyconform to the size and shape of the distal tip of an inferior articularprocess to be repaired with said component..Iaddend..Iadd.23. In a humanspinal facet joint wherein a portion of the outer surface of a superiorarticular process interacts with a portion of the outer surface of aninferior articular process, a method of relieving discomfort comprisingthe steps of: installing a prosthetic device having an outer surfacewhich replaces the outer surface of one or both of the superior andinferior articular processes, at least in the vicinity where saidprocesses interact..Iaddend.